[Anesthetic management for arteriographic evaluation and endovascular treatment in children with arteriovenous malformation of the vein of Galen].
In a series of 23 consecutive patients under 3 years old with VGAVM managed in Bicêtre from 1985 to 1990, 19 have been angiographically explored and 16/19 embolized (35 total procedures). Anaesthetic management must be adapted to the consequences of this disease: heart failure in newborns, intracranial hypertension in infants and the technical constraints of anaesthesiology in infants during neuroradiological explorations. Our results are satisfactory when compared to the classical bad prognosis of the disease: 90% of all the heart failures were ameliorated or cured; 10 infants are anatomically cured. The technical morbidity and mortality in embolized patients is nil. No perfusion breakthrough phenomena was observed in this series.
Hannedouche
A
A
Service d'anesthésiologie, Hôpital de Bicêtre, Le Kremlin Bicêtre.
Mann
C
C
Lasjaunias
P
P
Dubousset
A M
AM
D000768:Anesthesia, General / Q000379:methods*; D002533:Cerebral Angiography; D002550:Cerebral Veins / Q000002:abnormalities / Q000000981:diagnostic imaging; D002675:Child, Preschool; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D016343:Monitoring, Intraoperative; D015642:Radiology, Interventional
Prise en charge anesthésique pour bilan artériographique et traitement endovasculaire des enfants porteurs d'une malformation artério-veineuse de la veine de Galien.